CLINICAL PATHWAY DALAM PELAYANAN STROKE AKUT: APAKAH PATHWAY MEMPERBAIKI PROSES PELAYANAN?

Abstract

Background: The stroke care pathway is a simple resource
that provides the user with a summary of the key aspects of
care that should be considered for people with stroke at any
stage in their care. There is very limited study about the use of
clinical pathway in Indonesia.
Aim: This study described the process of developing clinical
care pathway and the trial of pathway for 50 patients with
acute stroke.
Method: The method of this study is after-before analysis.
We compare the process and outcome of non haemorrhagic
stroke patients before and after the pilot implementation of the
pathway. The data was obtained randomly from the medical
record of stroke patients. The data was analyzed descriptively.
Result: The data from 50 non haemorrhagic stroke patients
after the pilot implementation of clinical pathway were compared
with the data from previous year. The analysis showed that
there are improvement in the tracing for stroke risk factors,
swallowing assessment, nutritional consultation, and functional
status measurement after the pathway implementation. There
are not significant reductions on the average length of stay
and mortality rate between the two periods.
Conclusion: Our study showed that clinical pathway is
improving the indicator of stroke care services. The further
study for evaluating the effectiveness of stroke care pathway
in longer period is warranted.
Keywords: clinical pathway, stroke, process of care, outcome